山东医药2017，Vol.57Issue(43)：1-4,4.DOI:10.3969/j.issn.1002-266X.2017.43.001
原发性三叉神经痛显微血管减压手术中责任病变的探查与分析
Identification and analysis of offending lesions during the operation of microvascular decompression in primary trigeminal neuralgia
摘要
Abstract
Objective To explore and summarize the offending lesions of primary trigeminal neuralgia,in order to im-prove the pertinence and accuracy of surgery and achieve sufficient decompression of trigeminal nerve. Methods Ninety-one cases were diagnosed as primary trigeminal neuralgia before surgery,and 86 cases received planned microvascular de-compression,of which 85 cases were verified as primary trigeminal neuralgia during surgery. According to surgical find-ings,the offending lesions of primary trigeminal neuralgia were identified and analyzed. Results Of the 85 cases with pri-mary trigeminal neuralgia undergoing surgery,60 cases were found with only 1 offending vessel (70. 6％,including 3 cases with obvious arachnoid membrane adhesion),21 cases with 2 or more offending vessels (24. 7％),and 4 cases were found with no offending vessel (4. 7％,including 1 case with obvious arachnoid membrane adhesion). Of all patients receiving surgery,4 cases (4. 7％)were found with arachnoid membrane adhesion,including 3 cases accompanied with artery com-pression and 1 case with no obvious offending vessel. Conclusions For primary trigeminal neuralgia,besides solely one vessel,the offending lesions include two or more vessels,obvious arachnoid membrane adhesion and others. During the op-eration of microvascular decompression,all possible offending lesions should be identified to achieve sufficient decompres-sion of trigeminal nerve.关键词
原发性三叉神经痛/责任病变/责任血管/动脉压迫/静脉压迫/蛛网膜粘连Key words
primary trigeminal neuralgia/offending lesions/offending vessels/arterial compression/venous compres-sion/arachnoid membrane adhesion分类
医药卫生引用本文复制引用
齐猛,刘洋,蒋丽丹,梁建涛..原发性三叉神经痛显微血管减压手术中责任病变的探查与分析[J].山东医药,2017,57(43):1-4,4.基金项目
北京市215高层次卫生技术人才学术骨干项目(2014-03-061). （2014-03-061）
